A potentially underappreciated member of the multidisciplinary approach to diabetic limb salvage is that of psychiatry. Diabetic patients are more likely to experience depression, and diabetic patients with depression are more likely to undergo an amputation. Also, both diabetes and depression independently increase the healthcare costs in the United States. The objective of the present…
Despite the introduction of advanced wound care modalities over the last 15 years, chronic wounds are an increasing problem. Few single options are available for clinicians to treat recalcitrant wounds such as diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs). A retrospective, single-center study was conducted at an outpatient wound care center to evaluate…
During examination of an 11-year-old boy who had injured his right ankle, a benign tibial bone tumor was incidentally discovered. The bone tumor was initially treated with conservative care. When the patient returned with pain and an enlarging lesion, surgery was performed to prevent pathologic fracture. This case demonstrates the use of an allograft and…
Eliminating Elevatus Without an Osteotomy – A Preliminary Study Hallux limitus (HL) is the second-most common pathology associated with the first metatarsophalangeal joint. A common etiology believed to be associated with HL is metatarsus primus elevatus (MPE), although causation has been unsubstantiated by evidence. Historically, correction of MPE is surgically addressed with an osteotomy. However,…
Toms River, NJ – As the longest highway in the state of New Jersey, the Garden State Parkway is truly a destination route despite its being defined as a “limited access” thruway. When traveling north from the southernmost point, the highway provides access to the state’s multiple (and popular) shore points, including Wildwood, Stone Harbor,…
A patient “handoff,” or the “sign-out” process, is an episode during which the responsibility of a patient transitions from one health-care provider to another. These are important events that affect patient safety, particularly because a significant proportion of adverse events have been associated with a relative lack of physician communication. The objective of this investigation…
One relatively universal functional goal after major lower-limb amputation is ambulation in a prosthesis. This retrospective, observational investigation sought to 1) determine what percentage of patients successfully walked in a prosthesis within 1 year after major limb amputation and 2) assess which patient factors might be associated with ambulation at an urban US tertiary-care hospital.
Intra-articular fractures involving the ankle joint complex may be associated with significant patient morbidity, particularly if involving disruption and instability of the syndesmotic ligaments. Although this has been relatively well-established within the literature with respect to rotational ankle fractures [1,2], the association and impact of syndesmoticdisruption and malreduction on intra-articular tibial plafond fractures (i.e. pilon…
About Michael Plishchuk, D.P.M. Dr. Plishchuk is a graduate of the Temple University School of Podiatric Medicine in Philadelphia. His residency was served at Kennedy Memorial Hospitals in Stratford, Cherry Hill and Turnersville, New Jersey. Dr. Plishchuk has worked with patients at some of the most prestigious and well respected medical facilities in the area…
Robin Lenz, DPM Rene Kafka, DPM Kevin Jules, DPM Bradley W. Bakotic, DPM, DO Superficial acral fibromyxoma is a benign and slow-growing solitary soft-tissue neoplasm. Since being described in 2001, more than 100 cases of superficial acral fibromyxoma on the foot have been reported worldwide, none of which have been reported in the podiatric medical…